G9914 – Patient initiated an anti-tnf agent

Long description

Patient initiated an anti-tnf agent

Short description

Pt initiated anti-tnf agent

Pricing indicator

00 Not separately priced by Part B (bundled, not covered or Part A only)

Medicare coverage

C Carrier judgment – coverage decided by the Medicare contractor

BETOS category

Z2 Undefined codes

Added

January 1, 2018

Last change

January 1, 2024 – No change

Nearby G codes

• G9906 – Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy)
• G9907 – Documentation of medical reason(s) for not providing tobacco cessation intervention on the date of the encounter or within the previous 12 months (e.g., limited life expectancy, other medical reason)
• G9908 – Patient identified as tobacco user did not receive tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy)
• G9909 – Documentation of medical reason(s) for not providing tobacco cessation intervention on the date of the encounter or within the previous 12 months if identified as a tobacco user (e.g., limited life expectancy, other medical reason)
• G9910 – Patients age 66 or older in institutional special needs plans (snp) or residing in long-term care with pos code 32, 33, 34, 54 or 56 for more than 90 consecutive days during the measurement period
• G9911 – Clinically node negative (t1n0m0 or t2n0m0) invasive breast cancer before or after neoadjuvant systemic therapy
• G9912 – Hepatitis b virus (hbv) status assessed and results interpreted prior to initiating anti-tnf (tumor necrosis factor) therapy
• G9913 – Hepatitis b virus (hbv) status not assessed and results interpreted prior to initiating anti-tnf (tumor necrosis factor) therapy, reason not otherwise specified
• G9915 – No record of hbv results documented
• G9916 – Functional status performed once in the last 12 months
• G9917 – Documentation of advanced stage dementia and caregiver knowledge is limited
• G9918 – Functional status not performed, reason not otherwise specified
• G9919 – Screening performed and positive and provision of recommendations
• G9920 – Screening performed and negative
• G9921 – No screening performed, partial screening performed or positive screen without recommendations and reason is not given or otherwise specified
• G9922 – Safety concerns screen provided and if positive then documented mitigation recommendations